Collection Lead / Medical

Amerita

Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America we service thousands of patients nationwide through our growing network of branches and healthcare professionals.

The RCM Ancillary Services Team Lead will be capable of performing all activities related to the tracking and resolving of Ameritas credit balances processing incoming/outgoing correspondence medical records payer/patient refunds payer audits appeals and providing Revenue Cycle Management (RCM) support. The RCM Ancillary Services Team Lead will be the primary resource for all employees of the RCM Ancillary Services team. The RCM Ancillary Services Team Lead will work closely with the RCM departments finance operations and other team leads to identify and share information about trends or patterns in payment and residual balance activity. The RCM Ancillary Services Team Lead will ensure that the Revenue Cycle Management department maintains compliance with company policies and all applicable laws and regulations regarding billing collections credit balances banking and the security of patient financial information.

7:00a - 3:30p Mon - Fri

Medical Dental & Vision Benefits plus HSA & FSA Savings Accounts
Supplemental Coverage Accident Critical Illness and Hospital Indemnity Insurance
401(k) Retirement Plan with Employer Match
Company paid Life and AD&D Insurance Short-Term and Long-Term Disability
Employee Discounts
Tuition Reimbursement
Paid Time Off & Holidays

• Assists with the daily direction of the RCM Ancillary Services Team consisting of 12-20 employees
• Assists with the hiring onboarding professional development and performance oversight to include identifying performance issues and coaching employees toward improvement including disciplinary action; assists with the creation of yearly individual performance goals and provides input during yearly performance evaluations
• Assists the RCM Ancillary Services Manager and RCM Corporate Trainer with the development and implementation of training materials for the RCM Ancillary Services department to include validation and competency
• Monitors staff workload and makes prompt recommendations of current and future staffing needs to the RCM Ancillary Services Manager
• Assists staff with improving departmental processes and issue resolution to include coordination with other RCM finance contracting and operational management staff
• Oversees the processing and accuracy of all incoming/outgoing medical records requests and payer audits
• Coordinates the processing of refund checks with Ameritas and PharMericas accounts payable departments to include voided reissue and escheatment checks; prepares patient refund packets
• Analyzes aged credit balances and root causes to identify trends to support finance accounting and operations; works with RCM analysts to create additional reports as needed
• Reviews adjustment report to ensure adjustments taken are categorized correctly and within eligible ranges as outlined by Ameritas adjustment policy
• Revises and implements policies and procedures to ensure best practices are followed; monitors payer websites for updates and communications; makes recommendations to ensure payment retention and/or timely payment of claims
• Reviews weekly performance/productivity metrics and conducts quarterly audits to ensure individual and departmental goals are met and deficiencies are addressed to minimize revenue adjustments
• Though this position does not directly supervise employees the RCM Ancillary Services Team Lead is the initial resource for all employees of the RCM Ancillary Services team

• High School diploma/GED or equivalent required; Associates degree in Business Accounting Finance or a related field a plus
• A minimum of one (1) year of experience in revenue cycle management; supervisory and home infusion experience a plus
• Working knowledge of Managed Care Commercial Government Medicare and Medicaid reimbursement; knowledge of automated billing systems and experience with CPR and Waystar a plus
• Working knowledge and application of metric measurements basic accounting practices ICD 9/10 CPT HCPCS coding and medical terminology
• Solid Microsoft Office skills with the ability to type 40 WPM
• Strong verbal and written communication skills
• Ability to independently obtain and interpret information with a strong attention to detail
• Ability to adjust to workflow demands and meet specified deadlines
• Knowledge of state/federal regulations as it pertains to revenue cycle management a plus
• Flexible schedule with the ability to work evenings weekends and holidays as needed